A Comprehensive Guide to Medicare Insurance Options

Key Insights on Medicare Plans

Medicare is a federal program providing health coverage primarily for individuals aged 65 and older, as well as younger disabled persons and those with end-stage renal disease. It consists of four parts—A, B, C, and D—which can be complex to navigate. Here’s an overview of what each part covers.

Part A (Hospital Coverage)
Part A, part of the Original Medicare, includes inpatient hospital treatment, skilled nursing, and related services. As part of the government-funded program, costs are generally covered by Medicare.

Part B (Medical Services)
Part B covers outpatient, doctor visits, and diagnostic tests. It is also part of the Original Medicare, paid for by Medicare. Most individuals enroll in Part A around age 65, with the option to add Part B based on their existing coverage. Part B requires a monthly premium, unlike Part A, which is usually premium-free if you qualify.

Part C (Medicare Advantage)
Private insurers offer Medicare Advantage plans that combine Part A and B benefits, often with additional coverage options. Even when enrolled in a Medicare Advantage plan, beneficiaries retain Original Medicare benefits, with plans sometimes providing extra advantages.

Part D (Drug Coverage)
This optional plan, offered through private insurers, helps cover costs for prescription medications, ensuring beneficiaries can afford their needed drugs via monthly premiums.